Travel form and request for vaccination record to take to travel clinics

South Queensferry Medical Practice
TRAVEL HEALTH
When travelling abroad please visit the following website to check up-to-date information
and the required vaccines for the destination(s) you are travelling to:
www.fitfortravel.nhs.uk
If you require only Hepatitis A, Diphtheria, Tetanus & Polio and Typhoid please make an
appointment at the surgery at least 4 weeks prior to departure date.
If you require additional vaccines please attend one of the travel clinics listed overleaf
BEFORE being seen at the surgery.
If you are travelling with less than 4 weeks prior to departure date please attend one of
the travel clinics listed overleaf.
These clinics provide comprehensive travel advice and details of any additional
vaccinations you may need to travel. We can provide you with your vaccination record to
assist with this. Please complete the form below and hand into reception.
Request for Vaccination Record for Travel
Please fill in your details below and hand it to reception. Your record will be ready to collect
5 working days later.
Name: ____________________________________________________________________
Date of Birth: ______________________
Daytime Tel Number: _____________________
Address: __________________________________________________________________
_______________________________________________ Postcode: _________________
Destination: _____________________________________
Date of travel: ______________________ Length of trip: ___________________________
Date form submitted by patient: ________________________
If you attend a travel clinic please give us a copy of any vaccinations given and we
will update your medical records.
TRAVEL CLINICS
This list is not exhaustive. Please contact the clinics for opening hours and costs.
CityDoc Edinburgh
46-48 Clerk Street
Edinburgh, EH8 9JB
Tel: 0845 5941 950
www.citydoc.org.uk/citydoc-edinburgh
MASTA Travel Clinic
Davidsons Mains Medical Centre
5 Quality Street
Edinburgh, EH4 5BP
Tel: 0330 100 4169
www.masta-travel-health.com
Edinburgh Travel Health Clinic
14 East Preston Street
Edinburgh, EH8 9QA
Tel: 0131 667 1030
www.edinburghtravelhealthclinic.co.uk
Superdrug Travel Clinic Edinburgh
83 Princes Street
Edinburgh, EH2 2ER
Tel: 03 330 145 226
https://onlinedoctor.superdrug.com/travel/
TrExMed Travel Clinic Edinburgh
The Edinburgh Clinic
40 Colinton Road
Edinburgh, EH10 5BT
Tel: 0131 447 2340 Option 2
www.trexmed.co.uk/
Your GP
Waterside House
19 Hawthornbank Lane
Edinburgh, EH4 3BH
Tel: 0131 225 5656
www.your-gp.com/services/gp-services/
Western General Hospital
Regional Infectious Disease Unit (RIDU),
Ward 41 OPD (nearest entrance,Telford Road)
Crewe Road
Edinburgh, EH4 2XU
Tel: 0131 537 2822
www.nhslothian.scot.nhs.uk/Services/A-Z/RIDU/TravelClinic
Barnton Pharmacy Travel Clinic
195 Whitehouse Road
Edinburgh, EH4 6BU
Tel: 0131 339 3449
http://mybarntonpharmacy.co.uk/services/pharmacy-travel-clinic
Boots – on line service – appointments held at The Gyle after on-line registration only:
http://www.boots.com/en/Pharmacy-Health/Health-shop/Travel-health/Travel-vaccinationsand-advice/